Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12073 | Date 10/05/2023 |
| Token No | SM/22-23/21483 10/05/2023 | Serial | 004 Last Visit: 10/05/2023 |
| Patient Name | Mrs. ASHA PRAJAPATI | Contact No | 9874046476 |
| Address | 3 G.T.ROAD EAST(PANCHUBAZAR) | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.7 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 19.093639 |
| Diagnosis | |||